Doing telehealth from home? If you’re zoned out, take steps to fix it
By: Roy Edroso
Because of an expected new enrollment requirement, providers doing “telehealth from home” (TFH) may want to check their local zoning ordinances before setting up shop.
Capture correct level of risk for Rx management, parenteral controlled substances
By: Julia Kyles, CPC
Help your team assign the risk of complications and/or morbidity or mortality of patient management based on prescription (Rx) drug management or parenteral controlled substances when you report E/M services.
New health app rule would better protect users – and so can you
By: Roy Edroso
Now is a good time to inform your patients that the health apps they use, which you may have prescribed or recommended, have different privacy protections than those afforded by HIPAA. However, take note of a new rule proposed by the Federal Trade Commission (FTC); if finalized, your patients will have a better chance of finding out when their data has been compromised, and malefactors will have specific penalties to worry about.
Part B News Features
Ask a Part B News Expert
Question: We were told that we need to contact the patient’s primary care provider (PCP) before we perform epidural steroid injections (ESI) for Medicare patients. It’s hard to get the PCP... More
NPP Report
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
Benchmark of the Week
The codes for fine needle aspiration (FNA) and biopsy of skin lesions received a major update in the 2019 CPT manual. The update revised FNA code 10021 to become a primary code for a new add-on code... More
Ask a Part B News Expert
Question: We were told that we need to contact the patient’s primary care provider (PCP) before we perform epidural steroid injections (ESI) for Medicare patients. It’s hard to get the PCP... More
NPP Report
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
Benchmark of the Week
The codes for fine needle aspiration (FNA) and biopsy of skin lesions received a major update in the 2019 CPT manual. The update revised FNA code 10021 to become a primary code for a new add-on code... More
choose your feature view ► Ask Part B News & NPP Report Benchmark of the Week & Ask Part B News NPP Report & Benchmark of the Week
Part B News Blog
Jun 8, 2023
Reminder: Modifier KX is the cure for gender-based denials
by: Julia Kyles, CPC
Jun 1, 2023
Facet joint interventions: OIG frowns on audit findings, prior auth goes live July 1
by: Julia Kyles, CPC
May 25, 2023
Cigna backs off on tough new modifier 25 policy – for now
by: Laura Evans, CPC
Tools
April 1, 2023 ICD-10-CM code file
Bring your staff up to date on the ICD-10-CM code changes that went into effect April 1.
Use new E/M coding worksheet for level-based E/M encounters
DecisionHealth has revised its tool for office/other outpatient E/M visits (99202-99215) to include encounters performed in the inpatient or observation (99221-99223 and 99231-99236), emergency department (99281-99285), nursing facility (99304-99310) and home or residence (99341-99350) settings and consults (99242-99245 and 99252-99255).
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Benchmark of the Week
After changes, FNA with ultrasound, tangential biopsy dominated
The codes for fine needle aspiration (FNA) and biopsy of skin lesions received a major update in the 2019 CPT manual. The update revised FNA code 10021 to become a primary code for a new add-on code and replaced three outgoing codes with 16 new codes.
Pandemic cut most nursing facility E/M, but 99309 looks strong
Notwithstanding the pandemic waivers of the three-day rule, nursing facility E/M and discharge codes, used by skilled nursing facilities, mostly took a hit during the public health emergency (PHE). As noted by the Kaiser Family Foundation, there was a decline in SNF admissions during that period, though the length of SNF stays and spending increased.
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Learning Opportunities
WEBINAR
Webinar Transition to a Post-PHE Era: Craft a Coding, Billing, and Compliance Plan
WEBINAR
Webinar Branching Out With CPT Diagnostic Angiography FAQs
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